OUTCOMES OF UNPLANNED VAGINAL BIRTH AFTER CAESAREAN SECTION IN A SECONDARY CARE HOSPITAL

OpenAlex İngilizce

Aims:: To evaluate the demographic and obstetric characteristics of patients who had never come to our clinic for examination and had unplanned vaginal delivery after cesarean section in our clinic and to discuss the feto-maternal risks. Methods: This is a retrospective study including a total of 285 pregnant women who presented to the delivery room with spontaneous labor pain, had at least 1 previous cesarean section and preferred unplanned vaginal delivery after cesarean section in Kilis State Hospital between January 2015 and December 2020. Results: In our study, the mean maternal age(SD) was 28.4(5.4) years, gestational age(SD) was 37.0(3.5) weeks, birth weight(SD) was 3024(689) g, and median delivery time was 110(20-150) minutes. In the study, 264 patients(92.6%) were successfully delivered vaginally after cesarean section. A total of 27 patients(9.5%) developed postpartum complications. Conclusion: In patients who have had a previous cesarean section and present to the delivery room for spontaneous vaginal delivery in the active phase of labor, cesarean section rates can be reduced by performing vaginal delivery with close follow-up when appropriate patient selection, necessary clinical infrastructure and willing patient-physician relationship are provided.